4 ANXIETY IN LATER LIFE Anxiety in prodromal and early stages of dementia is under recognized and under treated. Anxiety is known to be prevalent in aging populations Anxiety Disorders= 4 15%; Sub clinical Anxiety symptoms=15 20% Approximately 30% of individuals with some forms of Anxiety Disorder (i.e., GAD most common in aging pop.) have associated cognitive impairment

11 UNDERSTANDING ANXIETY IN DEMENTIA Some studies suggest anxiety is a risk factor for conversion to dementia. This seems most consistent with a REACTIVE ANXIETY group Other studies have not replicated this finding, suggesting a possible PRIMARY ANXIETY group contained within the prodromal and early dementia populations (i.e., Mild Cognitive Impairment etc.) Assessment & treatment protocols, as well as health care resource requirements for these two anxiety subgroups may prove to be very different

12 DEVELOPING RESOURCES Improved & co existing screening measures for both cognitive and anxiety/mood issues within clinical populations such as ours Introduction or improvement of resources for our population to include specific education & treatment for both primary & reactive anxiety Inclusion of such resources in diagnostic clinics, such as ours, to ensure the earliest intervention

13 FUTURE DIRECTIONS Longitudinal studies to determine markers for reactive versus primary anxiety in MCI groups, which may require development of more specific & sensitive measurement tools Studies focused upon specifying the nature and cognitive impact of varying degrees & sub types of anxiety prevalent in aging and dementia populations Intervention studies to determine the impact of psychotherapeutic treatments (i.e., CBT based) on various forms of anxiety in the our population

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